| Regimental number | 6964 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Tram conductor |
| Address | Kensington, Hampton Street, Croydon Park, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs E Cook, Kensington, Hampton Street, Croydon Park, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
